Individual
KRISTIN BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 S SAILORS QUAY DR, BRICK, NJ 08723-4701
(973) 809-9630
Mailing address
26 S SAILORS QUAY DR, BRICK, NJ 08723-4701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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